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Home My WebLink AboutZ-27595FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27595 Date: 03/27/01 THIS CERTIFIES that the buildin~ DWELLING Location of Property 325 BRIDGE ST (HOUSE NO.) County Tax Map No. 473889 Section 034 subdivision GREENPORT (STREET) (HAMLET) Block 0003 Lot 049 Filed Map No. Lot No. __ conforms substantially to the Require~_nts for a ONE FAMILY DWELLING built prior to APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPi~/qCY NX]MBER Z- 27595 dated NL~RCH 27I 2001 was issued, and conforms to all of the requirements of the applicable provisions of the law. The Occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY GARAGE & STORAGE SHED * T~e certificate is issued to ANDREW J CIUPRYK ( OWNER ) of the aforesaid building. SUFFOLK COUNTSfDEPARTMENT OFHEALTHAPPROVAL ELEC~rRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~'~ *PLEASE SEE ATTACHED INSPECTION REPORT. N/~ N/A ~/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOC3%TION: 325 BRIDGE ST S~BDMSION: ~5%ME OF ~ (S}: ANDREW J CIUPRYK GREENPORT NO.: LOT (S) ANDREW J CIUPRYK SO~RCE OF P~ST: ANDREW J.CIUPHYK 3/12/01 DATE: 03/27/01 ACCESSORY STRUCTURES: WOOD VIOI~TIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. BEC. DATE ON INSPECTI(H~: 31/60/11 JOHN M. BOUFIS TIME START: 10:00 AM ~D: 10:30 AM Form NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of ,property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comptianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-existing" land uses: 1. Ac~9~e _p~rMgy, of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 3' Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building~$25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of OccUpancy - i -Z5~ 4. Updated Certificate of OcCupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....NI.~.}~.~9~ ....................... New Construction ........... Old Or Pre-existing Building .... ~ ........... Location of Property. ~ ~q..~b~g....S~f~T ....................... ~/~.o.~. ............... House No. Street Hamlet Onwer or Owners of Property..~.~.b..~.~.~P....~.....~.~..~.~..~ ...................... County Tax Map No 1000, Section...~..~ ........ Block...B.:~ ......... Lot...o. W9 ................ Subdivision .................................... Filed Map ............ Lot ...................... ............... Date Of Permit ................ Applicant ............................. Permit No . Health Dept. Approval ......................... · Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~ ........ Fee Submitted: $ .... /~/~. ................... CONSENT TO INS PECTION ~{~e_~t~ ~', C-ICCP~¥ K the undersigned, O~er(s) Name(s) do(es) hereby state: That the unders~ned (is) (are) the owner(~) of the premise8 ~ ~e To~ or Southold located at ~iO ~ ~C~T , ~F~T ) ~{,~ , whfch Is sho~ and desfcn~ted on the Suf[olk County tax map as District 1000, Section ~ , Block ~,~ , Lot ~ ~9 That the undersigned (has) (have) filed, 'or caused robe filed, an applica- tion in the Southold To~ Building Inspector's Office for the follo~v~g: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, *rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so w'/th the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (print name) (siena/ute) (print name) (:3 SURVEY OF LOT8 & PART OF LOT7 MAP OF STERLING MANOR FILE No. 53 FILED JUNE 18, 1875 $ITUA TED A T THE VILLAGE OF GREENPORT TOWN OF' SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-54-05-49 SCALE 1 "=20' FEBRUARY 27, 2001 CHICAGO TITLE INSURANCE COMPANY LAURA A. FISHER COUNTRYWIDE AMERICA'S WHOLESALE LENDER ISAOAATIMA AREA = 6,645.28 sq. ft. 0.155 ac. TH[ ~ Of IIIGHTS O~ WAY N.Y.S. L~. No. 4-9668 Joseph A. Ingegno Land Surveyor